– A Common Sense Guide for Clinicians
Book Review
Discussing Migraine with Your Patients
– A Common Sense Guide for Clinicians
By Dawn A. Marcus, MD and Duren Michael Ready, MD Springer, 2017
Discussing Migraine With Your Patients, an outstanding new book, was written primarily for clinicians. However, this handy book is very easily understandable for the lay public. The book includes a treasure of clinical pearls and wise advice.
The grey boxes throughout the book neatly summarize key points. All of the common types of headache are addressed. For example, the section on how to explain“ tension” headache to patients is insightful. The basic message is to“ medicalize” the condition, while not presenting tension headache as a psychiatric problem. There is a clear and practical exploration of the confusing topic on medication overuse headache. When to be concerned about more serious problems, such as a brain tumor, is tackled. Cluster and sinus headaches are also covered.
The genetics of migraine is examined in a clear and under- ������������������������������������������������������������powers the patient with strategies other than simply relying on medications. Chronic central sensitization( the nervous system is very“ excited”) and allodynia( heightened sensitivity, mostly to touch) are important topics that apply to chronic migraine. The authors explore these topics with clear and understandable language. A good discourse is included on what is occurring in the brain during chronic pain.
The association of migraine with cardiovascular conditions( heart attack or stroke), as well as with other pain disorders ���������������������������������������������������������������ily and friend relationships is part of the discussion. Anxiety and depression are increased among those patients with frequent migraines and the authors examine these important conditions.
Acceptance of a chronic condition is crucial, and there is a well-written section on the importance of acceptance. The
8 HeadWise ® | Volume 6, Issue 3 • 2017
170767 _ LOT A _ NHF Feb 2017 Vol. 6 Issue 3. indd 8 2 / 15 / 17 12:48 AM